Get Va Line Of Duty Act Participant Guide 2017

This guide provides a clear and comprehensive overview of how to complete the VA Line Of Duty Act Participant Guide online. It will assist users in understanding the required fields, steps in the form, and helpful tips to ensure a smooth process.

Follow the steps to successfully complete your VA Line Of Duty Act Participant Guide

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin filling out Part A by entering the preparer's information if applicable, including name, relationship to claimant, phone number, and email address.
3. Proceed to Part B, where the claimant's details should be entered, including their name, social security number, address, gender, marital status, birth date, and contact information.
4. In Part C, provide the claimant's employment information at the time of the incident, ensuring that it is completed by the employer, including the employer's contact details.
5. Go to Part D and document the report of the incident, including the date, witness information, details of the illness or injury, and any relevant physician visits.
6. In Part E, attach all required reports and documentation, such as the accident report, pre-employment physical (if applicable), and any additional documents for death or disability claims.
7. If applicable, fill out Part F detailing information about the spouse, dependents, and beneficiaries, ensuring to attach relevant legal documents.
8. Complete Part G, ensuring both the employer and the claimant or preparer sign the certification section to confirm the information provided is accurate.
9. Once the form is complete, review all sections for accuracy and submit the form to the Virginia Retirement System along with any required attachments.

Complete your VA Line Of Duty Act Participant Guide online today for timely benefits processing.